▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in NY
Hospitals
12
Min
$7,704.78
Median
$10,719
Max
$25,329
Range multiplier
3.3×
By payer (43 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 11 | 26 | $2,892 | $15,583 | $27,539 | 9.5× |
| Empire BCBS | 5 | 25 | $6,136.61 | $18,572 | $315,759 | 51.5× |
| UnitedHealthcare | 9 | 23 | $2,276 | $10,649 | $315,759 | 138.7× |
| Emblem Health | 6 | 19 | $8,351.13 | $16,803 | $315,759 | 37.8× |
| Cigna | 7 | 17 | $8,351.13 | $20,016 | $315,759 | 37.8× |
| Blue Cross Blue Shield | 5 | 10 | $663.07 | $8,262.4 | $13,996 | 21.1× |
| Humana | 8 | 8 | $7,949.96 | $8,819.73 | $315,759 | 39.7× |
| oxford | 4 | 7 | $2,276 | $23,637 | $315,759 | 138.7× |
| Medicare | 2 | 7 | $6,439.47 | $7,949.96 | $7,949.96 | 1.2× |
| WellCare | 7 | 7 | $7,860.42 | $9,025.57 | $315,759 | 40.2× |
| Healthfirst | 4 | 6 | $8,693.28 | $11,538 | $315,759 | 36.3× |
| fidelis | 5 | 5 | $8,518.15 | $11,418 | $315,759 | 37.1× |
| mvp | 4 | 5 | $2,855 | $8,747.27 | $11,418 | 4.0× |
| geisinger health plan | 2 | 4 | $8,351.13 | $13,841 | $20,007 | 2.4× |
| magnacare | 4 | 4 | $3,506 | $20,339 | $31,180 | 8.9× |
| cdphp | 2 | 4 | $8,351.13 | $18,629 | $29,750 | 3.6× |
| oscar | 3 | 4 | $17,296 | $17,296 | $19,891 | 1.2× |
| local 1199 | 3 | 3 | $17,575 | $21,663 | $24,177 | 1.4× |
| vns | 3 | 3 | $11,418 | $11,659 | $315,759 | 27.7× |
| horizon | 1 | 2 | $19,383 | $21,093 | $22,803 | 1.2× |
| 1199 seiu | 2 | 2 | $8,306.41 | $8,588.21 | $8,870 | 1.1× |
| health first | 2 | 2 | $8,351.13 | $8,621.66 | $8,892.19 | 1.1× |
| Medicare Advantage | 1 | 2 | $5,076 | $6,005.15 | $6,934.29 | 1.4× |
| upmc | 2 | 2 | $8,351.13 | $8,621.66 | $8,892.19 | 1.1× |
| metroplus | 2 | 2 | $11,659 | $163,709 | $315,759 | 27.1× |
| st. regis | 1 | 1 | $8,747.27 | $8,747.27 | $8,747.27 | 1.0× |
| TRICARE | 1 | 1 | $4,109.35 | $4,109.35 | $4,109.35 | 1.0× |
| brighton | 1 | 1 | $23,468 | $23,468 | $23,468 | 1.0× |
| VA Health | 1 | 1 | $8,747.27 | $8,747.27 | $8,747.27 | 1.0× |
| 1199seiu national benefit funds | 1 | 1 | $12,466 | $12,466 | $12,466 | 1.0× |
| elderplan | 1 | 1 | $315,759 | $315,759 | $315,759 | 1.0× |
| elderplan 1316 | 1 | 1 | $7,949.96 | $7,949.96 | $7,949.96 | 1.0× |
| emblemhealth | 1 | 1 | $9,578.42 | $9,578.42 | $9,578.42 | 1.0× |
| centers plan for healthy living | 1 | 1 | $11,418 | $11,418 | $11,418 | 1.0× |
| fidelis care | 1 | 1 | $8,747.27 | $8,747.27 | $8,747.27 | 1.0× |
| capital district physicians' health plan | 1 | 1 | $8,747.27 | $8,747.27 | $8,747.27 | 1.0× |
| longevity | 1 | 1 | $8,693.28 | $8,693.28 | $8,693.28 | 1.0× |
| capital district physicians health plan mcr adv | 1 | 1 | $7,704.78 | $7,704.78 | $7,704.78 | 1.0× |
| wellpath | 1 | 1 | $13,121 | $13,121 | $13,121 | 1.0× |
| northwell direct | 1 | 1 | $17,730 | $17,730 | $17,730 | 1.0× |
| capital district physicians health plan cdphp | 1 | 1 | $7,704.78 | $7,704.78 | $7,704.78 | 1.0× |
| partners health plan | 1 | 1 | $11,418 | $11,418 | $11,418 | 1.0× |
| prime health services | 1 | 1 | $8,892.19 | $8,892.19 | $8,892.19 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| NASSAU UNIVERSITY MEDICAL CENTER | EAST MEADOW | NY | 6 | — | — | $7,490.7 | $9,949.08 | $13,278 |
| GARNET HEALTH MEDICAL CENTER | MIDDLETOWN | NY | 17 | — | — | $8,892.19 | $8,892.19 | $31,180 |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL | PLATTSBURGH | NY | 10 | — | — | $8,269.67 | $8,747.27 | $19,654 |
| GARNET HEALTH MEDICAL CENTER - CATSK | HARRIS | NY | 15 | — | — | $8,351.13 | $8,351.13 | $30,123 |
| FREDRICK FERRIS THOMPSON HOSPITAL | CANANDAIGUA | NY | 6 | — | $7,949.96 | $6,216.71 | $7,949.96 | $10,649 |
| ADIRONDACK MEDICAL CENTER | SARANAC LAKE | NY | 8 | $21,025 | $13,035 | $663.07 | $7,704.78 | $8,255.12 |
| NEW YORK EYE AND EAR INFIRMARY | NEW YORK | NY | 15 | — | — | $8,306.41 | $25,329 | $315,759 |
| MEMORIAL HOSPITAL FOR CANCER AND ALL | NEW YORK | NY | 3 | — | — | $17,418 | $21,472 | $34,467 |
| NEW YORK PRESBYTERIAN HOSPITAL | NEW YORK | NY | 15 | — | — | $11,659 | $19,891 | $31,752 |
| SOUTH NASSAU COMMUNITIES HOSPITAL | OCEANSIDE | NY | 12 | — | — | $6,136.61 | $17,296 | $31,129 |
| ST. JOSEPHS MEDICAL CENTER | YONKERS | NY | 14 | $55,331 | — | $2,276 | $11,418 | $27,461 |
| ELIZABETHTOWN COMMUNITY HOSPITAL | ELIZABETHTOWN | NY | 1 | — | — | $10,719 | $10,719 | $10,719 |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.